Human Support Services

NPI 1437586112 - Counselor - 101YM0800X

NPI Details
NPI 1437586112
Enumeration Date 09/26/2013
Last Updated 09/26/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ROBERT ROBERT
Position EXECUTIVE DIRECTOR
Phone (618) 939-4444
Fax (618) 939-4181
Practice Location
224 N MAIN ST REAR
WATERLOO IL, 62298-1264, US
Phone (618) 939-4444
Fax (618) 939-4181
Business Location
PO BOX 146
WATERLOO IL, 62298-0146, US
Phone (618) 939-4444
Fax (618) 939-4181
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Human Support Services NPI is 1437586112, taxonomy code is 101YM0800X Human Support Services physically located at 224 N Main St Rear, Waterloo IL, 62298-1264. NPI Number 1033115704 has the healthcare provider type.

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1437586112 NPI number is provided on an as is basis without warranty of any kind. 1437586112 is maintained by the National Plan & Provider Enumeration System. The contents of Human Support Services are for informational purposes only.